Ear Nose & Throat of Freehold LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25MB07718700 Issued in NJ

Legal business name

EAR NOSE & THROAT OF FREEHOLD LLC

Practice address

55-77 Schanck Rd
Freehold, NJ 07728-2964

Phone

(732) 677-3780

Fax

(732) 677-3782

NPI assigned

Apr 26, 2007

Last updated

Jan 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Leonard Roessler, D.O.NPI 1255348900

Title

Managing Member

Phone

(732) 677-3780

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Leonard Roessler, DO

  • Otolaryngology Physician
  • Freehold, NJ
  • NPI 1255348900
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1447470125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-77 SCHANCK RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-677-3780",
            "fax_number": "732-677-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-77 SCHANCK RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-677-3780",
            "fax_number": "732-677-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT OF FREEHOLD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "ROESSLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-677-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MB07718700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Durso, CRNA
• Dylhar LLC (Legacy health Drug)
• Dynamic Physical Therapy of New Jersey P.a.
• Agnieszka Dziubak
• E&M Communications LLC
• East Freehold Medical Group L.L.C. (East Freehold Medical Associates)
• Glenn Easton, CO,BOCPO,LPO
• Edward Schechterman DMD PA
• Georgia Efthimiou, M.A., BCBA
• Nicole Ehrmann

• Otolaryngology Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.